Individual provider Active NPI

Joan M Sprick

  • Audiologist-Hearing Aid Fitter
  • Irvine, CA
National Provider Identifier
1295768414
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU1457 Issued in CA
Practice address
4505 Barranca Pkwy
Ste a
Irvine, CA 92604-4707
Phone
(949) 262-7190
Fax
(949) 262-7193
NPI assigned
Jul 9, 2006
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA3031 CA
Audiologist-Hearing Aid Fitter 237600000X AU1457 CA Primary
Audiologist 231H00000X AU1457 CA

Addresses

Primary practice location

4505 Barranca Pkwy
Ste a
Irvine, CA 92604-4707

Mailing address

5912 Bolsa Ave
Ste 201
Huntington Beach, CA 92649-1146
Phone (714) 898-5732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026001010 CA Practitioner - Qualified Audiologist 6507827177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serendipity Hearing IncGroup PAC ID 4587849054, 11 clinicians

Practice addresses (Care Compare)

23685 Moulton Pkwy
Suite B1
Laguna Hills, CA 92653-1938
Phone (949) 587-9935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1457CAMDOccupational Therapy Assistant
AU1457CAMDAudiologist
HA3031CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Adapt Hearing Inc Past Accepting new patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1295768414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 BOLSA AVE",
            "address_2": "STE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491146",
            "telephone_number": "714-898-5732",
            "fax_number": "714-901-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BARRANCA PKWY",
            "address_2": "STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044707",
            "telephone_number": "949-262-7190",
            "fax_number": "949-262-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRICK",
        "first_name": "JOAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3031",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1457",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.